Paper 06 - NHS Ayrshire and Arran.

5. Resource implications and identified source of funding
5.1 All of the proposals within this paper will be delivered within existing resources,
taking account of the need to deliver cash releasing efficiency savings.
6. Risk assessment and mitigation
6.1 Systems, processes and structures are being implemented to ensure that all known
risks to the delivery of the quality ambitions are being mitigated.
7. Impact assessment and consequential changes proposed to mitigate adverse
impacts identified
7.1 This is an internal document that does not require impact assessment.
8. Conclusion
8.1 Development of a revised CCIB meeting structure and format will facilitate wider
discussion, debate and action planning.
8.2 The Adjusted HSMR data continues to demonstrate a downward change from the
baseline period - a -9.2% change at Ayr Hospital and a -16.5% change at
Crosshouse Hospital. Given the ongoing reduction, the changes to practice will
continue to be monitored and the development of the HSMR group at Ayr Hospital
Site will facilitate the implementation of the suite of actions within this care setting.
8.3 A proposal will be tabled at the August CCIB meeting to describe the merger of the
falls, pressure care and nutritional care workstreams into essential elements to
provide a checklist to support a care bundle approach.
8.4 The MR results in Crosshouse have improved due to the input of a Pharmacist,
however Ayr results continue to be unreliable. It is anticipated that the roll out of the
ECS will address some of the reliability issues. Improved access to ECS by junior
doctors will also form part of the solution.
8.5 A MQIT will be convened to oversee the Patient Safety Culture work. Detailed
results will be provided to individual cohorts in order to identify their clinical
improvement activity. Following review of this work roll out of the programme will
be considered for other clinical areas.
8.6 This report identifies that progress continues to be made across the CCIB
workstreams. Clinical leads continue to be supported. Capacity and capability
building for Clinical Improvement and Healthcare Quality is planned for the autumn
and will aid future progress and reduce person dependence in some areas.
Robert Masterton, Executive Medical Director
Fiona McQueen, Executive Nurse Director
[Craig White, Diane Murray]
19 July 2011
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